Provider Demographics
NPI:1023618295
Name:VO, GIANG (RPH)
Entity type:Individual
Prefix:
First Name:GIANG
Middle Name:
Last Name:VO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 SE CANTERBURY LN
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-3425
Mailing Address - Country:US
Mailing Address - Phone:816-699-3300
Mailing Address - Fax:
Practice Address - Street 1:301 E COOPER BLVD
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-1260
Practice Address - Country:US
Practice Address - Phone:660-747-8677
Practice Address - Fax:660-747-5244
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO043681183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist